Main Street Community Mental Health Clinic
LBN: Main Street Mobile Treatment Associates
Main Street Community Mental Health Clinic is an health care organization with primary practice located at 37 Main St , Reisterstown MD 21136-1236. The organization recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / School, Agencies / Community/Behavioral Health. Agencies / Community/Behavioral Health is the primary health care specialty.
Main Street Mobile Treatment Associates can be contacted via phone (410) 526-7882, or through Ryan, Pamala Sobol via phone (410) 526-7882.
Contact Information
Primary practice address
37 Main St
Reisterstown MD 21136-1236
Phone: (410) 526-7882
Fax: (410) 526-9855
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / School | 1041S0200X | ||
| Agencies / Community/Behavioral Health | 251S00000X | Maryland |
Profile Details
| NPI number | 1194874867 |
|---|---|
| LBN Legal business name | Main Street Mobile Treatment Associates |
| DBA Doing business as | Main Street Community Mental Health Clinic |
| Authorized official | Ryan, Pamala Sobol Registered Nurse (RN) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jan 10th, 2007 |
| Last updated | Jan 3rd, 2024 - about 10 months ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1194874867 | NPPES |
| Maryland | MEDICAID | 404353700 |
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